CAJ | 학술논문

目的:探讨腰椎间盘突出症的MRI应用价值.方法:回顾性收集44例经住院治疗腰椎间盘突出症患者MRI检查资料.结果:44例均见椎间盘信号下降、14例椎间隙变窄;椎间盘膨出33个、突出48个、脱出7个、游离4个;44例均有不同程度的硬膜囊、神经根、脊髓等受压变形;2例伴侧隐窝狭窄,5例伴马尾神经受压,3例伴黄韧带增厚,9例伴椎管狭窄.34例经手术治疗,29例与MRI诊断相符合,符合率为85.29%;4例MRI诊断椎间盘游离,诊断符合率100%.结论:MRI是诊断腰椎间盘突出症的最佳成像方法.
목적:탐토요추간반돌출증적MRI응용개치.방법:회고성수집44례경주원치료요추간반돌출증환자MRI검사자료.결과:44례균견추간반신호하강、14례추간극변착;추간반팽출33개、돌출48개、탈출7개、유리4개;44례균유불동정도적경막낭、신경근、척수등수압변형;2례반측은와협착,5례반마미신경수압,3례반황인대증후,9례반추관협착.34례경수술치료,29례여MRI진단상부합,부합솔위85.29%;4례MRI진단추간반유리,진단부합솔100%.결론:MRI시진단요추간반돌출증적최가성상방법.
Objective: To assess the value of MRI in lumbar disc herniation. Methods: The MRI data of 44 in-patients treated as lumbar disc herniation was retrospectively colected. Results: MRI signal decrease of lumbar discs were founded in al of the 44 patients, disc space narrowing in 14 patients. Of the patients, 33 bulged discs, 48 protrused discs, 7 ruptured disk, 4 herniated and freed discs were showed. 44 cases had different degrees of compression of the dural sac, nerve root, and spinal cord et al. 2 patients were folowed with lateral recess stenosis, 5 patients with cauda equina compression, 3 cases with yelow ligament thickening, 9 patients with spinal stenosis. 34 cases were treated by surgery, 29 patients were consistent with the MRI results, and the diagnose accordance rate was 85.29%. 4 cases of herniated and freed discs in MRI were confirmed by operation, with the diagnose accordance rate of 100%. Conclusion: MRI is the best imaging method for the diagnosis of lumbar disc herniation.